Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376606391
Report Date: 01/24/2020
Date Signed: 01/24/2020 11:10:11 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME:WITZMANN, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
376606391
ADMINISTRATOR:WITZMANN, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 943-7342
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:14CENSUS: 12DATE:
01/24/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:16 AM
MET WITH:Andrea WitzmannTIME COMPLETED:
11:15 AM
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An unannounced annual inspection was conducted today by LPA Nancy Diaz. Upon arrival LPA observed 12 children in care with the licensee, Andrea Witzmann and helpers Elleney Mortland and Alex Villanueva. Children were participating in various outdoor activities. LPA conducted a tour of the home to ensure the health and safety of children. Licensee is using the following areas for daycare: living room, family room, dining, kitchen, nap room, hallway bathroom and back fenced yard. The following areas are off-limits to children: second floor. These areas are inaccessible to children via barricade.
The licensee is present in the home and ensures that children in care are supervised at all times. The licensee has maintained capacity specified on the license. Each child has safe, healthful and comfortable accommodations, furnishings and equipment.

There is a pool and a jacuzzi in the back that is fenced with a self-latching gate that meets regulation requirement. Mrs. Witzmann stated that she does not maintain any weapons in the home. All cleaners, toxics, medications and other hazardous substances are inaccessible to children in care via storage in high cabinet. Fireplace is screened to prevent access by children. Fire extinguisher and smoke detectors present in the home meet State Fire Marshall standards. The home is kept clean and orderly with sufficient ventilation for safety and comfort. The home provides toys, play equipment and materials. The home maintains a working telephone service. Stairs are fenced or barricaded (where that are children less than five years old present). Facility has a cabon monoxide detector that meet the statutory requirements.

The home has a current roster of the children. The home conducts fire and disaster drills at least once every six months, and documents the date and time of each drill. Last fire drill conducted was 12/18/2019. Licensee documents immunizations and maintains and updates records for children in care. Licensee provides the child’s parent or representative with a copy of the Family Child Care Home Notification of parents’ rights.

CONTINUED ON PAGE TWO
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108
FACILITY NAME: WITZMANN, ANDREA FAMILY CHILD CARE
FACILITY NUMBER: 376606391
VISIT DATE: 01/24/2020
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Mrs. Witzmann has completed training on Preventative Health Practices including Pediatric CPR and First aid. Licensee’s CPR & First Aid certificate are valid through March 2020. A handout was provided to the licensee today on “Effects of Lead Exposure”. Licensee shall provide a copy of this handout to all the daycare parents.

The following handouts were provided to the licensee today:

- PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall
- PIN 19-09-CCP – Head Lice Information for Child Care Providers
- Health & Human Services Agency Guidance on Head Lice Prevention and Control
- PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
- PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
- PIN 19-02-CCP – Safe Sleep Awareness Campaign

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website. Please go to www.ccld.ca.gov and click on Child Care, go under Quick Links and Quarterly updates, click on “Receive Important Updates” then enter your email address and choose which program(s) you would like to subscribe to and click “subscribe”.

LPA observed the Representative post the Notice of Site Visit in a prominent place. The Representative states it is understood that this notice must be posted for 30 days.

There are no new adults living or working in the home over the age of 18 years. All individuals subject to criminal record review have obtained criminal record clearance or exemption prior to working, residing or volunteering.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Community Care Licensing WEBSITE: http://www.ccld.ca.gov


NO DEFICIENCY CITED TODAY.
SUPERVISOR'S NAME: Tashima DanielTELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy DiazTELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC809 (FAS) - (06/04)
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